DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THERESA AILEEN MUDAY, MD

Active Sole Proprietor

DR. THERESA AILEEN MUDAY, MD is a Family Medicine healthcare provider located in COOS BAY, Oregon. NPI 1639154875 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · COOS BAY, OR

Registration Details

NPI Number
1639154875
Provider Type
Individual
Gender
Female
NPI Issued
Dec 9, 2005 (20.495562567084 yrs)
Last Updated
Oct 26, 2007
License
MD22695 (OR)
Sole Proprietor
Yes

Practice Information

Address
1900 WOODLAND DR
COOS BAY, OR, 974200000
Browse OR providers · Browse ZIP 97420
Phone
5412675151
Fax
5412664501
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in COOS BAY, OR

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.